为儿童提供健康的多样化饮食对于他们的最佳生长和发育很重要。在关键的生命早期,营养不良的患病率很高,这在西非引起了严重关注。我们评估了科特迪瓦6-23个月儿童的饮食多样性水平和相关因素,尼日尔和塞内加尔。对3,528名儿童(科特迪瓦:N=118;尼日尔:N=763;塞内加尔:N=2,647)使用对主要照顾者进行的饮食质量问卷调查工具进行评估。在尼日尔和塞内加尔的城市和农村地区进行了整群随机抽样,在科特迪瓦使用了简单随机抽样,只有农村家庭被选中。对调查数据进行了分析,以确定儿童从八个食物组中摄入的食物:母乳;谷物,根,块茎和车前草;豆类,坚果和种子;乳制品;肉食品;鸡蛋;富含维生素A的水果和蔬菜;以及其他水果和蔬菜。最低膳食多样性(MDD)是根据8种食物中≥5种的消费量进行评估的。在所有国家,大多数儿童年龄≥12个月,来自农村家庭.来自贫困家庭/非常贫困家庭的儿童在32.4%至41.9%之间。科特迪瓦MDD患病率为54.2%,尼日尔占33.3%,塞内加尔占30.8%。在这三个国家,12-23个月的儿童对六种食物组的消费量明显更高,与6-11个月相比,≥12个月的儿童患MDD的可能性更高,与婴儿相比,尼日尔(aOR=4.25;95%CI:2.46,7.36)和塞内加尔(aOR=2.69;95%CI:2.15,3.35)。城市儿童MDD患病率较高,与农村相比,尼日尔(p=0.020)和塞内加尔(p<0.001)的地区,最富有的地区明显更高,与最贫穷的人相比,家庭。这项研究表明,科特迪瓦的大多数幼儿,尼日尔和塞内加尔没有得到充分多样化的饮食,依赖淀粉主食和较低的高质量蛋白质来源的摄入量。我们的研究结果强调了在这些环境中实现饮食多样性的社会经济障碍,并强调了对支持最佳补充喂养方式的策略进行投资的迫切和持续需求。
Providing children healthy diversified diets is important for their optimal growth and development. The high prevalence of under-nourishment during the critical early life period is of serious concern in West Africa. We assessed the level of dietary diversity and associated factors for children aged 6-23 months in Côte d\'Ivoire,
Niger and Senegal. Prior 24 h dietary intake was assessed for 3,528 children (Côte d\'Ivoire: N = 118;
Niger: N = 763; Senegal: N = 2,647) using the Diet Quality Questionnaire survey tool administered to primary caregivers. Cluster random sampling was conducted for urban and rural areas in
Niger and Senegal and simple random sampling was used in Côte d\'Ivoire, where only rural households were selected. Survey data were analyzed to determine children\'s intake of items from eight food groups: breast milk; grains, roots, tubers and plantains; pulses, nuts and seeds; dairy products; flesh foods; eggs; vitamin A-rich fruits and vegetables; and other fruits and vegetables. Minimum Dietary Diversity (MDD) was assessed based on the consumption of ≥5 of the 8 food groups. In all countries, the majority of children were ≥ 12 months of age and from rural households. Children from poor/very poor households ranged from 32.4 to 41.9%. MDD prevalence was 54.2% in Côte d\'Ivoire, 33.3% in
Niger and 30.8% in Senegal. In all three countries, children 12-23 months had significantly higher consumption of six of the food groups, compared to those 6-11 months, and children ≥12 months had a higher likelihood of MDD, compared to infants, in Niger (aOR = 4.25; 95% CI: 2.46, 7.36) and Senegal (aOR = 2.69; 95% CI: 2.15, 3.35). MDD prevalence was higher among children in urban, compared to rural, areas in
Niger (p = 0.020) and Senegal (p < 0.001) and significantly higher in the wealthiest, compared to poorest, households. This study suggests most young children in Côte d\'Ivoire, Niger and Senegal are not receiving an adequately diversified diet, with a reliance on starchy staples and lower intake of high-quality protein sources. Our results highlight socio-economic barriers to attaining dietary diversity in these settings and stress the urgent and continuing need for investments in strategies that support optimal complementary feeding practices.